彩超检查对糖尿病视网膜病变的临床诊断价值

Diagnostic value of color ultrasonography in diabetic retinopathy

目的探讨彩超检查对糖尿病性视网膜病变的诊断价值。方法彩色多普勒超声对68例2型糖尿病（DM）病人进行检查，观察并记录视网膜、玻璃体各种病理改变的位置、形态、程度、范围、活动度及视网膜中央动脉（CRA）、中央静脉（CRV）血流动力学变化情况，根据其改变的程度对观同腹埔变进行分期，许对严重增殖期手术病人进行术后结果对照证实。结果对尊尿病视网膜病变早期、增殖前期、增殖期能作出正确的分期判断。68例病人中38例（48只眼）严重增殖型视网膜病变（玻翟体登血、玻璃体机化物形成、视网膜脱离），行玻璃体视网膜切割手术，术后结果证实诊断符合率达98％。结论彩超检查糖屎病视网膜病变诊断率高，无创伤，无痛苦，可对病变进行兮期，对预后进行估测，为临床医生早期药物治疗和手术治疗的筛选提供可靠的诊断依据．

AIM To study the diagnostic value of color ultrasonography in the clinical management of diabetic retinopathy. METHODS A group of 68 patients with NIDDM received color ultrasonic inspection for the location, shape and extent of pathological changes in eyes, as well as the hemodynamic features of CRA and CRV. RESULTS Color ultrasonography diagnosed 48 eyes of 38 patients as seriously proliferative diabetic retinopathy, with a surgically confirmed accuracy of 98%. CONCLUSION Color ultrasonography has very high accuracy in the diagnosis and staging of diabetic retinopathy.